Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.20 / $496.05 / $496.05	Facility		$328.20	$496.05	$496.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $389.61 / $765.43	Professional		$278.13	$389.61	$765.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.63 / $965.11 / $1,440.36	Professional		$701.63	$965.11	$1,440.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.84 / $710.79 / $1,233.66	Facility		$411.84	$710.79	$1,233.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $453.88 / $1,207.18 / $3,745.52	Professional		$453.88	$1,207.18	$3,745.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $375.18 / $847.55 / $1,241.41	Facility		$375.18	$847.55	$1,241.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $930.77 / $1,282.41	Professional		$646.00	$930.77	$1,282.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $507.38 / $680.54 / $988.46	Professional		$507.38	$680.54	$988.46
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.44 / $905.13 / $1,407.98	Professional		$579.44	$905.13	$1,407.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $623.70 / $763.10 / $1,108.40	Professional		$623.70	$763.10	$1,108.40